Is it normal to feel cramping after an IUD insertion?
It is expected that first day, and is not uncommon to have some mild cramping for the first several days. Medications like Motrin or Aleve usually provide good relief.

Do I need a referral for a yearly exam?
That is determined by your insurer. If you have any questions as to whether you need a referral, your primary care provider can usually answer that concern.

Is it normal to have irregular periods when first starting birth control pills?
Yes, it is very common to have "breakthrough bleeding"-bleeding/spotting between periods in the first three months of a new pill. If you are having this occur, keep taking your pills and call us if you want to discuss this.

What do I do if I miss a birth control pill?
If you miss one pill, it is recommended to take it as soon as you remember. If you miss 2 pills in the first 2 weeks of the pack, take 2 pills the next 2 days, and use back up birth control for the rest of the pack. If you miss more than 2 pills, it is recommended to start a NEW pack as soon as you recognize that, and use back up birth control (condoms, spermicide) for that entire new pack.

Is it really necessary to have an HSG after having an Essure tubal?
The FDA mandates that confirmation of tubal blockage with an HSG be done after an Essure tubal sterilization procedure. While it is very uncommon to have a tube remain open after Essure, confirmation of blockage is mandatory.

Which insurances do you participate with?
We participate with Aetna, Cigna, Coventry, Medicare, One Net, and United Healthcare. We also participate with Maryland Medical Assistance and the following MCOs: Priority Partners, Riverside, and United Healthcare Community.

Do you have a sliding fee scale?

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